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Donna Wilson-Fant, LCSW
NPI 1245519321 · on the registry since 2011 · sole proprietor
Practice
- Address
- 341 Ponce De Leon Ave Ne
Atlanta, GA 30308 - Phone
- (404) 616-6614
- Fax
- (404) 616-9790
- Organisation at this address
- Grady Memorial Hospital Corporation
Ponce Infectious Disease Center PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia